Individual
KAYLA ACORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 S BLAKE AVE, MOSCOW, ID 83843-4117
(208) 885-6111
Mailing address
1183 DOUTHIT RD, SYLVESTER, GA 31791-4806
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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